Individual provider Active NPI

Sofia T Mahkamova, PHYCICIAN ASSISTANT

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1235843178
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9116997 Issued in FL
Practice address
217 Hillcrest St
Orlando, FL 32801-1211
Phone
(407) 425-1566
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9116997 FL Primary

Addresses

Primary practice location

217 Hillcrest St
Orlando, FL 32801-1211

Mailing address

217 Hillcrest St
Orlando, FL 32801-1211
Phone (407) 425-1566

Other practice location 1

720 W Oak St Ste 360
Kissimmee, FL 34741-4910
Phone (407) 846-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821000624 FL Practitioner - Physician Assistant 2961864129 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

600 E Dixie Ave
Leesburg, FL 34748-5925

700 W Oak St
Kissimmee, FL 34741-4924
Phone (407) 846-2266

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Merit-based Incentive Payment System (MIPS)

Final score
87.32 of 100Reported as group
Quality
75.8
Promoting interoperability
99
Improvement activities
40
Cost
63.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince May 5, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 5, 2025 Accepting new patients
Cardiovascular Surgeons, P.a. CurrentSince May 11, 2025 Accepting new patients
Florida Practitioners, LLC Surgical CurrentSince Oct 13, 2025 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Jul 25, 2025 Accepting new patients
Florida Clinical Practice Association Inc Past Accepting new patients

Locations

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

217 Hillcrest St
Orlando, FL 32801
Phone (407) 425-1566

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sofia.mahkamova@hca4.eclinicaldirectplus.com
  • Direct secure messaging: smahkamova789910@direct.shands.ufl.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1235843178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011211",
            "telephone_number": "407-425-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011211",
            "telephone_number": "407-425-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 W Oak St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414910",
            "country_code": "US",
            "telephone_number": "407-846-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHKAMOVA",
        "first_name": "SOFIA",
        "middle_name": "T",
        "credential": "PHYCICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9116997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.